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Chief Operating Officer 
Hospital/Facility: Providence Memorial Hospital
Location: El Paso, TX


The Parent Company

Tenet Healthcare Corporation, through its subsidiaries, owns and operates acute care hospitals and related health care services across the United States.  Effective October 2013 Tenet Healthcare acquired Vanguard Health Systems, becoming the second-largest healthcare company in the United States in terms of revenue and employees.  The combined company will have 77 hospitals, 170 outpatient centers, 23,000 affiliated physicians, over 600 Conifer Health Clients, and more than 100,000 employees operating in 43 states.  Tenet Healthcare and Vanguard Health Systems have become one company, and we are united by a common purpose — to provide high quality care to people in the communities we serve. And together we have the resources and expertise to meet the healthcare challenges of the 21st century.

We are moving rapidly into a new world, one in which healthcare delivery will be fundamentally different from the past. We are ready for that future. Our caregivers and facilities are providing greater value and a wider range of services, from wellness to primary care to chronic care management, as well as urgent care, advanced diagnostics, outpatient surgery, rehabilitation, and of course, our core service, acute hospital care. Our health plans are providing affordable coverage options for families and employers, and Conifer Health Solutions is helping hospitals, employers and health plans improve the efficiency of their operations and the health of the populations they serve.

We strive also to be known for having exceptional integrity, being an excellent place to work for our employees and physicians, and delivering long-term value for our shareholders.  As we seek to improve the quality of patient lives, serve our communities, and provide an exceptional environment for our colleagues and affiliated physicians, we are guided by these five core values.  Quality; quality is at the core of everything we do and every decision we make.  Integrity; we manage our business with integrity and the highest ethical standards.  Service; we have a culture of service that values teamwork and focuses on the needs of others.  Innovation; we support a culture of innovation that creates new solutions for our patients, physicians and employees.  Transparency; we operate with transparency by measuring our results and sharing them with others.

We recognize that a balanced management approach is critical in achieving our mission, and base our goal and measurement system on a balanced scorecard consisting of five pillars: Service, Quality, People, Cost, and Growth.  Our balanced scorecard has been an important part of Tenet’s past success – and will be fundamental to our success going forward.  Ethics and Compliance are also key values to our company, and are the foundation to the five pillars.

Additionally, we aim to be recognized – in both word and deed – as a leader in addressing the many difficult issues facing our industry.  Our focus on quality is just one example of this commitment.  We have also taken strong leadership positions on other health care issues of great importance, including joining ranks with other for profit hospital systems as a part of the Federation of American Hospitals to have a voice on critical issues on Medicare pricing, the uninsured, and quality.

Tenet, a publicly traded company listed on the New York Stock Exchange under the stock symbol THC, is one of the largest investor-owned health care delivery systems in the nation with 77 hospitals in 16 states; more than 170 outpatient centers; 20,326 licensed beds; nearly 4 million patients; over 100,000 employees; and $15.4 billion net operating revenues.


Providence Memorial Hospital

Since it opened in 1952, Providence Memorial Hospital has been providing generations of El Pasoans with a broad spectrum of advanced health care programs and clinical services in general medicine, surgery, pediatrics and obstetrics. Our award winning maternity services have been recognized with a 5-star rating for three consecutive years from HealthGrades, a leading source for independent healthcare quality information. Providence has also been recognized with three straight National Consumer Choice Awards from the National Research Corporation. This award recognizes consumer preference in the areas of best image and best overall quality.

Throughout the years, we've continued our commitment to the community by expanding services in several areas, including designating The Children's Hospital at Providence, El Paso’s only pediatric hospital. The Children's Hospital offers pediatric intensive care, pediatric transport team, pediatric cancer care, and Kidsville, Jungleville, Oceanville and Teensville - our colorfully decorated inpatient units.  The Border Children's Health Clinic provides care for children with chronic illnesses. We also offer an assortment of outpatient services at the network's Sierra Providence Trawood Center (Eastside) and Sierra Providence TotalCare Center (Westside), making our technology available to all parts of the city. 

Facts about Providence Memorial Hospital:

§  508 licensed beds.

§  2006/2007, 2005/2006 and 2004/2005 National Research Corporation (NRC) Consumer Choice Award – Quality and Image.

§  2007 HealthGrades Maternity Care Excellence Award™ 2005 & 2006/07.

§  Voted Best Hospital, 2006 by The El Paso Times Best of the Border.

§  Accredited Primary Stroke Center by the Joint Commission.

§  Accredited by the Joint Commission on Accreditation of Healthcare Organizations.

Specialties include:

§  Sleep Disorders Center to diagnose and treat problems like sleep apnea.

§  Obstetric services, including a High-Risk Pregnancy program, Mother-Baby Nursing program, as well as Labor, Delivery & Recovery Plus rooms and a neonatal intensive care unit.

§  Digestive Disease Center for the diagnosis and treatment of digestive disorders.


The Position


El Paso, Texas.

Reporting Relationships

The Chief Operating Officer reports directly to the Chief Executive Officer of the facility.

COO Core Competencies

As a leader in healthcare, Tenet is committed to providing the best possible care to every patient, with a clear focus on quality and service.  Strong leadership is essential to delivering on this commitment, and we believe that the quality of our leaders can give us a significant long-term competitive advantage.  We want to ensure every current and future leader in Tenet is successful, and we support that through our selection and hiring process and by providing coaching and training to our leaders.

In this regard, we have identified core competencies that will enable a leader to succeed at Tenet, and have defined them within the following five areas critical to performance:

Optimize Execution

Ø  Establishes realistic and aggressive team/individual goals, and action plans that deliver results (e.g., tasks that lead to the renovation of patient rooms).

Ø  Demonstrates high visibility, consistently interacting with key stakeholders to inform, advise, listen, encourage, and challenge (e.g. routinely rounds with employees, physicians, patients, etc.).

Ø  Optimizes facility’s financial and human resources by overseeing day-to-day operations in a high quality and cost conscious manner (e.g. maintains appropriate staffing ratios, oversees throughput in ER and other high volume departments, actively manages quality initiatives, leads successful supply cost initiatives).

Ø  Clearly understands and communicates the Balanced Scorecard metrics and targets to the organization (e.g., reviews BSC performance and builds action for lagging areas with Department Directors).

Use Astute Judgment

Ø  Demonstrates high level complex problem solving abilities (e.g., identifies drivers of service line losses).

Ø  Uses highly developed expertise in quantitative analyses to define and support facility goals (e.g., builds a solid financial business case for expansion of ICU).

Ø  Understands business development and physician recruitment strategies that lead to a competitive advantage.

Ø  Working knowledge of patient care standards reflected in federal and state regulation (e.g. JC accreditation, HCAHPS, etc.).

Lead Boldly

Ø  Takes decisive operational action in high stakes situations or times of crisis and uncertainty (e.g., responds to local disasters, such as a hurricane).

Ø  Promotes or asserts own position and ideas for operation improvement, quality care delivery, revenue, and volume growth (e.g., identifies and champions a new throughput process in the OR).

Ø  Seeks and champions new ideas and initiatives that create operational/strategic advantage (e.g.  forging a privileged relationship with local employers).

Ø  Decisively confronts and resolves issues or barriers to success (e.g., actively addresses physician concerns about new clinical processes).

Ø  Assumes CEO responsibilities in absence of CEO (i.e.. Second in command).

Apply Financial Insights

Ø  Understands financial indicators/levels and delivers year over year improved financial performance (e.g., actively contributes to ideas that curtail cost in the facility’s business plan).

Ø  Uses financial and productivity analysis vs. anecdotes to make decisions (e.g., continually reviews cost and productivity reports and directs efforts for improvement in targeted areas of opportunity).

Drive Organizational Success

Ø  Builds consensus and commitment across disparate facility managers, physicians and home office staff with often competing priorities, with short and long-term goals (e.g., hosts discussions to shape and align stakeholders on MPI goals and approach).

Ø  Engages in team bench strength assessments and recruitment or promotion action plans that meet current/future talent needs (e.g., identifies and develops/mentors younger tenure talent).

Ø  Is an effective team member with the facility’s CEO, CFO, CNO, DBD to pursue new growth, implement new processes, and/or address new challenges (e.g., a A-Team challenge to improve HCAHPS scores).

Ø  Provides ongoing feedback, measurement and assessment process that measure performance to plan and cause course correction for direct reports (e.g., meets with staff weekly to discuss progress on key initiatives/operations).

Ø  Partners effectively with medical staff to continually improve the quality and level of services provided (e.g., actively participates in MEC, meets frequently with Chief of Staff).

Specific COO Responsibilities

The Chief Operating Officer has responsibility for day-to-day operations of the facility and related services, ensuring that staff delivers high quality, cost effective care and services with a positive margin.  The Chief Operating Officer will promote the facility’s position and image; reflective of the mission, standards and values of the facility, Tenet and the communities served.

Specific challenges include:

 Ø  Provide strong leadership, direction, and assistance in setting strategy with clearly defined expectations. Lead the development of progressive physician/facility strategies and execute plans in order to optimize the long-term potential of the facility.

Ø  Display strong business acumen, a sophisticated knowledge of healthcare funding, and experience in competitive marketplaces with the ability to make complex and difficult decisions.

Ø  Establish a plan to address productivity, operational performance, staff retention and satisfaction.

Ø  Partner with medical staff to foster quality, efficiently provided care.  Emerge as respected leader and decision-maker.

Ø  Establish trust and emerge as a leader in key initiatives and strategies to continually improve the quality and level of services provided.

Ø  Create an environment that supports employee satisfaction, improved service and quality.  Initiate a strategic process that addresses continuous measurable improvement.

Ø  Exhibit strong communication, presentation and listening skills to ensure facility-wide collaboration and coordination, especially as concerns physicians, employees and the community.

Ø  Assure the highest standards of healthcare delivery and outcomes, ensuring a constant patient focus.

Ø  Ensure positive employee relations and trust through communication, education, consistency and dependability.


A competitive compensation program will be tailored to the selected candidate.  Base salary will be supplemented by a performance bonus and comprehensive, well-rounded benefits program, which includes relocation assistance.





 The Candidate


Undergraduate degree from a recognized and accredited institution is required and an MBA/MHA or equivalent is preferred.

Required Background Experience

A minimum of ten years of successful progressive healthcare/facility management experience. A demonstrable record of significant career progression, having culminated in a senior management position as either a Chief Operating Officer, Senior Operations Officer or Chief Executive Officer in a progressive, financially sound hospital system.

High level, complex problem solving abilities both in groups and in one-on-one situations.

Demonstrated success in leading process improvement initiatives in a tertiary facility.

First-hand successful experience as a Chief Operating Officer (or equivalent) in a highly competitive environment.

Highly developed expertise in quantitative analysis to support definition and advancement for the facility’s goals and objectives.

Decisive leader, with the ability to understand physicians’ viewpoints and needs, and work strategically in the best interest of patients and the facility.  A strong reputation for sustained, inclusive, trust-based physician relations.

Proven success in balancing cost/quality issues and partnering with medical staff to address productivity improvements in non-labor reduction initiatives. 

Experience in a system with excellent employee, physician and patient satisfaction, quality and outcomes improvement programs.

An understanding of information systems as they pertain not only to accounting but also to decision support, cost management and revenue enhancement.

Professional Attributes

The ability to maximize revenue potential in a thoughtful manner, cognizant of potential compliance issues.

Capable of working with staff and assisting them in their continued development, as well as enhancing their performance in a supportive team environment. 

One who is open to change and new information, adapting behavior and work methods in response to new information, changing conditions, or unexpected obstacles.  Someone who adjusts rapidly to new situations warranting attention and resolution.

A high orientation to detail with proven analytical and financial skills. 

One who encourages open dialogue and delegates authority and accountability comfortably.  Demands excellence and monitors outcomes.

The capacity, maturity, stature and communication skills to eventually assume a more senior leadership role in a hospital system.

An individual who has successfully driven initiatives that require coordination from multiple constituencies such as human resources, finance, information systems, lab, and pharmacy.

Personal Attributes

An individual of highest personal and professional integrity, principle and knowledge, earning respect and support when making difficult decisions and choices. Able to establish immediate credibility with peers, senior leadership, and medical staff.

Must listen actively and accurately, encourage input from others.  Provide clear directions.  Maintain an ongoing dialogue with employees to ensure continual progress.

Excellent oral and written presentation skills.  Articulate, good conversationalist and possessing a gracious demeanor.

A collaborative and operational manager who will give employees a voice and encourage full participation of all team members.

Please apply at


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